1550 Beach Ave ERES19-0190 pool electrical permit Vj:r ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
ERES19-0190
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 6/20/2019
ATLANTIC BEACH. FIL 32233 EXPIRES: 12/17/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property
that may be found in the public records of this county, and there may be additional permits required from other
governmental entities such as water management districts,state agencies, or federal agencies.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
1550 BEACH AVE ELECTRICAL RESIDENTIAL ELEC POOL $600.00
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1718720000 MANDALAY
COMPANY: ADDRESS: CITY: STATE:
DAVID PRUETTES 331 -8 P PARKRIDGE AVE ORANGEPARK FIL 32065
ELECTRICAL SVC.
OWNER: ADDRESS: CITY: STATE: zip:
IBACH MICHAEL 1550 BEACH AVE ATLANTIC BEACH FL 32233
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
LIST OF CONDITIONS
7
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC SWIMMING POOLS 455-0000-322-1000 0 $40.00
ELECTRICAL BASE FEE 4S5-0000-322-1000 0 $SS.00
STATE DBPR SURCHARGE 4SS-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 4S5-0000-208-0600 0 $2.00
TOTAL: $99.00
Issued Date:6/20/2019 1 of 2
Electrical Permit Application "ALL INFORMATION
HIGHUGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 0( 90
Phone: (904) 247-5826 Email: Suildirg-DeptcPcoab.us PERMIT'#-R� 19-W\3
J013 ADDRESS: 1595Q 3aCgT, An
=�_ _ PROJECT VALUE$ JQ0.00
JEA INFORMATION REQUIRED ON ALL PERMITS- AMPS_VOLTS PHASE
F7NEW SERVICE: 0 Overhead MUnderground 0underground up Pole
Mesidential(Main)Service:
00-100 amps 0101-150amps 0151-200amps [L_amps #of Meters
OCommerclal(Main)SenAce:
00-100 amps 0101-150amps 0151-200amps Q_amps OCT Service amps
Conductor Type —Size
E3Multi-Family(Main)Service:
EID-100 amps clol-150amps E1151-200amps M—amps #of Unit Meters
TEMPORARY POLE: amps
0 SERVICE UPGRADE:Ei—amps 0C Service amps
NEW FEEDER(ADDmONS,ACCESSORY STRUCTURES,ETC.):
E1100amps [1150amps r1200amps 0—amps [3CT Service_amps
ADDITIONS,REMODELS,REPAIRS,RUILD-OUTS,ACCESSORY STRUCTURES,ETC:
Outlets/Switches: 0-30amps —31-100amps —101-200amps
Appliances: 0-30amps —31-100amps —101-200amps
A/C Circuits: 0-60amps __61-100amps
Heat Circuits: circuits @ kw
Number of Lighting outlets, Including Fixtures:
VT ER ELECTRICAL PROJECTS:
wimming Pool r7lSign DSmoke Detectors_(Qty) aransformers KVA []Motors HP
FIRE ALARM SYSTEM(Requires 3 sets crf plans):
Qty—volts/amps
REPAIRS/MISCELLANEOUS:
E]Replace Burnt/Damaged Meter Can OSafety Inspection [3PanelChange aH to LIG
QDther: Updared 10/17128
Mit becomes void if work doesnot commence within a six month period or work is suspended or abandoned for six months. I her*certify that I have
read this application and know thp some to be true and correct. All provisions of laws and ordinances goveming this work will be compiled with whether
specifled or not- The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction
Owner Na�e: Vxi r1i Phone Number:
Electrical Cornpanvl')n�18 2C jeus�klflcak(,;\Jc OfficePhone: CICA-la"IQ —)
Co.Addres., State:R— Zip:
-1)aVi d Pf Ij tion#: EC,(=Qq&5
License Holder qe-ife- , State rprtification/Registra
Notarized Signature of License Holder
-'HForegoi ig in-�rt k!n-.c.,jr koa! 3c�,,nowledged before me this y int-he State of Florida,County of CLAm
—da of
CHO ROBERTS Zignat of Notary Public G
pl"'
iiL.state of Florida
Notary Pub
Commission#GG 211925 ersonally Known OR Produced Identification
'4 Kpires Aug Z1,207 2 Type of Identification;
,I oF Kc�, my Comm.E�
...........ionded through Nation
al Notary Assn.
V City of Atlantic Beach R9363
Cash Register Receipt Receipt Number
-GV1
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $99.00
ERES19-0190 Address: 1550 BEACH AVE APN: 171872 0000 $99.00
ELECTRICAL $95.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC SWIMMING POOLS 455-0000-322-1000 0 $40.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-209-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R9363 $99.001
Date Paid: Thursday, June 20, 2019
Paid By: DAVID PRUETTES ELECTRICAL SVC.
Cashier: CB
Pay Method: CREDIT CARD 8
Printed:Thursday,June 20,2019 2:20 PM 1 of 1